NCCI edits for CPT 0905T
CMS lists 53 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,953 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies. CMS writes every edit as an ordered pair: the Column Two code is denied and the Column One code is paid.
- 0904T 0905T denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 0905T denies
- 62321 0905T denies
- 62322 0905T denies
- 62323 0905T denies
- 62324 0905T denies
- 62325 0905T denies
- 62326 0905T denies
- 62327 0905T denies
- 64400 0905T denies
- 64405 0905T denies
- 64408 0905T denies
- 64415 0905T denies
- 64416 0905T denies
- 64417 0905T denies
- 64418 0905T denies
- 64420 0905T denies
- 64425 0905T denies
- 64430 0905T denies
- 64435 0905T denies
- 64445 0905T denies
- 64446 0905T denies
- 64447 0905T denies
- 64448 0905T denies
- 64449 0905T denies
- 64450 0905T denies
- 64451 0905T denies
- 64454 0905T denies
- 64455 0905T denies
- 64461 0905T denies
- 64463 0905T denies
- 64479 0905T denies
- 64483 0905T denies
- 64486 0905T denies
- 64487 0905T denies
- 64488 0905T denies
- 64489 0905T denies
- 64490 0905T denies
- 64493 0905T denies
- 64505 0905T denies
- 64510 0905T denies
- 64517 0905T denies
- 64520 0905T denies
- 64530 0905T denies
- 93000 0905T denies
- 93005 0905T denies
- 93010 0905T denies
- 96523 96523 denies
Showing 50 of 53. The plain-text version contains every pair.
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 00100 0905T denies
- 00102 0905T denies
- 00103 0905T denies
- 00104 0905T denies
- 00120 0905T denies
- 00124 0905T denies
- 00126 0905T denies
- 00140 0905T denies
- 00142 0905T denies
- 00144 0905T denies
- 00145 0905T denies
- 00147 0905T denies
- 00148 0905T denies
- 00160 0905T denies
- 00162 0905T denies
- 00164 0905T denies
- 00170 0905T denies
- 00172 0905T denies
- 00174 0905T denies
- 00176 0905T denies
- 00190 0905T denies
- 00192 0905T denies
- 00210 0905T denies
- 00211 0905T denies
- 00212 0905T denies
- 00214 0905T denies
- 00215 0905T denies
- 00216 0905T denies
- 00218 0905T denies
- 00220 0905T denies
- 00222 0905T denies
- 00300 0905T denies
- 00320 0905T denies
- 00322 0905T denies
- 00326 0905T denies
- 00350 0905T denies
- 00352 0905T denies
- 00400 0905T denies
- 00402 0905T denies
- 00404 0905T denies
- 00406 0905T denies
- 00410 0905T denies
- 00450 0905T denies
- 00454 0905T denies
- 00470 0905T denies
- 00472 0905T denies
- 00474 0905T denies
- 00500 0905T denies
- 00520 0905T denies
- 00522 0905T denies
Showing 50 of 5,953. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.